COLE R SHAWVER – Certified Registered Nurse Anesthetist, NPI 1912300120

COLE R SHAWVER is a healthcare provider. based in Coffeyville, Kansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 154164 (KS). The NPI Number for COLE R SHAWVER is 1912300120

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
COLE R SHAWVER
NPI
1912300120
Phone
(620) 251-1200
Address
1400 W 4TH ST
Enumeration Date
1 October 2014
Last Update Date
14 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8772254762
Graduation Year
2016 (10 years ago)
PAC ID
6406130236
Group Practice PAC ID
2365414497
Professional Enrollment ID
I20200327001518
Address ID
OR979142639ON351XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

967 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS

Provider Addresses for COLE R SHAWVER

  • 1400 W 4TH ST

    COFFEYVILLE, KS 673373306

    Phone: (620) 251-1200

    Type: Mailing

  • 801 E Wheeler Rd

    Moses Lake, WA 988371820

    Phone: (509) 765-5606

    Fax: (509) 764-3244

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200327001518ICertified Registered Nurse Anesthetist (Crna)ORTBD
I20221101000881ICertified Registered Nurse Anesthetist (Crna)IDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01480Anesthesia for other procedure on lower leg, ankle, and foot bones1616$0
View full utilization report →

Insurance plans in this area (ZIP 67337)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365414497View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)ID
-ID

Reviews

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Frequently asked questions

What number should I use to identify COLE R SHAWVER for billing?
Administrative and clinical systems typically use NPI 1912300120 for COLE R SHAWVER.
Is COLE R SHAWVER's NPI status active today?
Active status means COLE R SHAWVER's NPI record is not deactivated in the public file.
How should patients interpret COLE R SHAWVER's specialty?
The extract shows Certified Registered Nurse Anesthetist for COLE R SHAWVER. Clinical services aligned with this taxonomy classification.
What city is tied to COLE R SHAWVER?
The directory associates COLE R SHAWVER with Coffeyville, Kansas. Check all listed addresses for suites or satellite offices.
Can I export COLE R SHAWVER's record?
You can download the official NPPES record; we summarize key fields for readability.